Edwards, Susan Todd
Edwards, Susan Todd is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Edwards, Susan Todd can be contacted via phone (603) 653-9666.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-1000
Phone: (603) 653-9666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6099 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 6099 | New Hampshire |
Profile Details
| NPI number | 1346252996 |
|---|---|
| LBN Legal business name | Edwards, Susan Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346252996 | NPPES |
| New Hampshire | MEDICAID | 00000209 | |
| New Hampshire | MEDICAID | 1000672 |
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